KENNETH EDWARDS

CHICAGO, IL
NPI1043764897
Entity TypeOrganization
Authorized ContactKENNETH EDWARDS
Therapist
214-662-1040
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: IL  180010430)
Enumeration Date2016-08-10
Last Update Date2016-08-10
Business Address
KENNETH EDWARDS
2133 W THOMAS ST
CHICAGO, IL 60622-3629
Phone number: 214-662-1060
Mailing Address
KENNETH EDWARDS
2133 W THOMAS ST
CHICAGO, IL 60622-3629
Phone number: